The Troll in Transplant—CMV Esophagitis in a Post Orthotopic Liver Transplant Patient Complicated with Scalp Squamous Cell Carcinoma

作     者：Alif Adlan Mohd Thabit Anuradha Radhakrishnan Haniza Omar Tan Soek Siam Alif Adlan Mohd Thabit;Anuradha Radhakrishnan;Haniza Omar;Tan Soek Siam

作者机构：Infectious Diseases Unit Department of Medicine Selayang Hospital Batu Caves Malaysia Department of Hepatology Selayang Hospital Batu Caves Malaysia 

出 版 物：《Case Reports in Clinical Medicine》 (临床医学病理报告（英文）)

年 卷 期：2022年第11卷第4期

页      面：116-121页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Orthotopic Liver Transplant Cytomegalovirus CMV Esophagitis Limited Systemic Sclerosis 

摘      要：A liver transplant candidate who is CMV serostatus positive and is subjected to calcineurin inhibitor such as tacrolimus post transplant may increase risk of CMV disease, and may promote tumor progression in some. We report a case of a late localized CMV disease manifesting as oesophagitis after 7 years post orthotopic liver transplantation complicated with an aggressive scalp squamous cell carcinoma which recurred despite wide local excision procedure. Hence it is crucial to modulate the patient’s risk factors for tumor progression without compromising the patient to graft rejection.